Cishe uke wezwa udokotela ethi, "Kudingeka sisuse amaqhubu" uma uthola ukuthi wena noma othile omaziyo unomdlavuza. Kuvamile ukuzizwa unesaba futhi unelukuluku ngaleso sikhathi. Ziyini lezi ziqhubu? Kungani zisuswa ngesikhathi sokwelashwa komdlavuza? Ingabe lokhu kuhlinzwa kuyingozi? Namuhla, sizoxoxa ngakho konke lokhu kalula, ngendlela ongayiqonda.
Kuyini ukuhlinzwa kwe-Lymph Nodes kanye ne-Lymphadenectomy?
Kulungile, ake siqale sibheke ukuthi laba bafana abancane bayini. Sinenethiwekhi yemithambo yegazi emizimbeni yethu yonke, njengemithambo yegazi. Lokhu sikubiza ngokuthi i-Lymphatic System . Omunye wemisebenzi eyinhloko yalolu hlelo ukusiza ekuvikeleni imizimba yethu.
Cabanga nje ukuthi uhlelo lwe-lymphatic lufana nenethiwekhi yemigwaqo ezweni lakithi. Khona-ke ama-lymph node afana nezindawo zokuhlola zamaphoyisa ezitholakala kuleyo migwaqo. Lezi zindawo zokuhlola zibamba futhi zihlunge imfucuza, amagciwane, amangqamuzana alimele, ikakhulukazi amangqamuzana omdlavuza emzimbeni wethu. Ngakho-ke lezi zifana nonogada emzimbeni wethu.
Kalula nje, i-Lymphadenectomy ukususwa ngokuhlinzwa kwe-lymph node eyodwa noma ngaphezulu.
Kungani udinga lokhu kuhlinzwa?
Ngokuvamile, udokotela uzoncoma lokhu kuhlinzwa kumuntu osevele etholakale enomdlavuza. Kunezizathu ezimbili eziyinhloko zalokhu.
1. Ukuxilongwa Nokuhlukaniswa Kwezigaba: Uhlelo lwe-lymphatic luyindlela eyinhloko lapho amangqamuzana omdlavuza esakazeka khona esuka endaweni eyodwa eya kwenye. Ngakho-ke, ngokususa nokuhlola amaqhubu ambalwa eduze kwesimila, singakwazi kahle ukuthi umdlavuza usakazeke ngaphandle kwesimila (i-Metastasis). Lokhu sikubiza ngokuthi ukunquma isigaba somdlavuza (i-Cancer Staging). Ngokusekelwe kulesi sigaba, odokotela banquma ukuthi iyiphi indlela yokwelapha (isib. i-chemotherapy, ukwelashwa ngemisebe) efaneleka kakhulu kuwe.
2. Njengokwelashwa: Uma kutholakala ukuthi izigaxa ezisusiwe ziqukethe amangqamuzana omdlavuza, kusho ukuthi amangqamuzana omdlavuza nawo asusiwe ngesikhathi sokuhlinzwa. Futhi, uma umdlavuza ususakazeke, lokhu kuhlinzwa kungasiza ekususeni izigaxa ezengeziwe futhi kuvimbele umdlavuza ukuthi ungasabalali emzimbeni.
Lokho kusho ukuthi lokhu kuhlinzwa kuwukuhlolwa kanye nokwelashwa.
Yiziphi izinhlobo eziyinhloko zokuhlinzwa?
Lokhu kuhlinzwa kungahlukaniswa ngezinhlobo ezimbili eziyinhloko. Kukhona nendlela ekhethekile.
| Uhlobo lokuhlinzwa | Incazelo Elula |
|---|---|
| Ukuhlinzwa kwe-Lymphadenectomy Kwesifunda (Okukhethayo) | Ukususa amaseli ambalwa aseduze nesimila somdlavuza njengesampula. |
| Ukuhlinzwa kwe-Lymphadenectomy Okukhulu (Okuphelele) | Ukususwa ngokuphelele kwezicubu zonke noma iningi lazo endaweni lapho umdlavuza ukhona khona. |
I-Biopsy ye-Sentinel Node
Ngezinye izikhathi odokotela abahlinzayo baqala ngokususa futhi bahlole kuphela i-node eseduze nesimila, okufana "nendawo yokuhlola yokuqala" lapho amangqamuzana omdlavuza angasakazeka khona kuqala. Lokhu kubizwa ngokuthi i-Sentinel Node Biopsy . Uma lelo node lingenawo amangqamuzana omdlavuza, akunakwenzeka ukuthi amanye ama-node nawo aqukethe amangqamuzana omdlavuza. Kuleso simo, ukuhlinzwa okukhulu kungase kungadingeki.
Ususa kuphi ama-moles emzimbeni?
Ama-moles awakho endaweni eyodwa emizimbeni yethu, kodwa ngamaqoqo. Ukuthi yiliphi iqembu elisuswayo kuncike ekutheni umdlavuza ukuphi. Izinhlobo ezahlukene zomdlavuza zisakazeka ngamaqoqo ahlukene ama-moles.
| Indawo okufanele isuswe ibizwa ngokuthi indawo yaseKuddeti. | Izinhlobo ezivame kakhulu zomdlavuza |
|---|---|
| I-Axillary | Umdlavuza webele, umdlavuza wesikhumba esandleni (i-Melanoma) |
| I-hernia ye-Inguinal | Umdlavuza wepenis, isitho sangasese sowesifazane, i-rectum |
| Umlomo wesibeletho | Umdlavuza wekhanda nentamo, umdlavuza we-thyroid |
| Umgodi we-pelvic (i-pelvic) | Umdlavuza wesinye, i-rectum, i-prostate, kanye nesibeletho |
| Ithumba elingemuva kwesisu | Umdlavuza wamasende, ama-ovari, kanye nezinso |
| I-Mediastinal | Umdlavuza wamaphaphu, i-Lymphoma |
Okubalulekile: Igama elithi "Cervical" linezincazelo ezimbili!
Ukuhlinzwa kokususa ama-lymph node entanyeni kubizwa ngokuthi `(Cervical Lymphadenectomy). Lapha, ``Cervical'' kusho ukuthi kuhlobene nentamo. Umdlavuza wesibeletho ubizwa ngokuthi ``Cervical Cancer.'' Laba ababili bahluke ngokuphelele. Ngakho ungakhathazeki ngokuzwa leli gama. Udokotela wakho uzokuchazela lona.
Kwenzekani ngesikhathi sokuhlinzwa nangemva kwalokho?
Ngaphambi kokuhlinzwa, udokotela wakho uzokwenza izinto ezifana nokuskena ukuhlola isimo samasende. Bangase futhi benze i-biopsy yenaliti, ehilela ukuthatha isampula encane yezicubu.
Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, ngakho ngeke uzwe ubuhlungu. Kungenziwa njengokuhlinzwa okuvulekile (ngokusika okukodwa) noma ukuhlinzwa kwe-laparoscopic (ngokusika okuncane okuningana ngekhamera). Ngemva kokususwa kwezithungo, kufakwa ipayipi enxebeni ukuze kuvinjwe uketshezi ukuthi lungaqongelelani. Lokhu kususwa udokotela ngemva kwezinsuku noma amasonto ambalwa.
Kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili ngemva kokuhlinzwa. Ubuhlungu buvame ukuba buncane futhi bungalawulwa ngemithi yokwelapha izinhlungu evamile.
Yiziphi izingozi kanye nezinkinga ezingaba khona ngenxa yalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezincane.
- Ukutheleleka kwenxeba.
- Ukulimala kwemizwa kubangela ukungazweli noma ukuqina endaweni.
- Ukujiya kwegazi.
Inkinga evame kakhulu futhi ehlala isikhathi eside engenzeka ngemva kokuhlinzwa yisimo esibizwa ngokuthi i-Lymphedema .
Kuyini i-Lymphedema?
Uma amafutha amaningi esuswa, ukugeleza koketshezi lwe-lymph kuyavaleka. Bese lolo ketshezi luqoqana engalweni noma emlenzeni, okubangela ukuvuvukala. Lokhu kubizwa ngokuthi 'i-Lymphedema'. Lokhu kungase kufike kudlule isikhathi esifushane kwabanye, kodwa kwabanye kungaba unomphela. Le ngozi iphakeme kancane uma uthola nokwelashwa ngamakhemikhali noma ngemisebe. Kodwa manje kunezindlela zokwelapha ezinhle kanye nokuzivocavoca ukuze kulawulwe.
Yiziphi izimpawu okufanele ngizibonele udokotela?
Uma ubuyela ekhaya ngemva kokuhlinzwa, qaphela lezi zimpawu ezilandelayo. Uma unanoma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha.
- Inxeba liba bomvu, liphume ubomvu, noma libe nomkhuhlane (izimpawu zokutheleleka) .
- Ubuhlungu obungalawuleki, ukuba ndikindiki, noma ukuqina.
- Ubunzima bokuhambisa imilenze neminwe kahle.
- Ukuvuvukala okungajwayelekile engalweni, emlenzeni, noma eminweni ohlangothini lokuhlinzwa (kungaba uphawu lwe-lymphedema).
Umlayezo Wokuya Nawe Ekhaya
- Ukususwa kwe-lymphadenectomy kuyisinyathelo esibaluleke kakhulu enkambisweni yokwelashwa komdlavuza. Kunikeza ulwazi olubalulekile mayelana nesigaba somdlavuza wakho.
- Lokhu kuhlinzwa kusetshenziselwa ukubona ukuthi umdlavuza ususabalele yini, kanye nokusiza ekwelapheni lesi sifo ngokususa amangqamuzana omdlavuza asesabalele.
- Nakuba kunezingozi ezincane njenganoma yikuphi ukuhlinzwa, inkinga enkulu yesikhathi eside engaba khona yi-Lymphedema (ukuvuvukala kwezitho). Kubalulekile ukuqaphela lokhu.
- Landela imiyalelo kadokotela wakho ngokucophelela ngemva kokuhlinzwa. Bika noma yiziphi izimpawu ezingavamile kudokotela wakho ngokushesha.
- Ungalokothi unqikaze ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngalokhu.
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